A clinical profile of psoriatic arthropathy. | [Journal of Pakistan Association of Dermatologists • 2012]

Author(s):

1. Neerja Puri: Department of Dermatology, G.G.S. Medical College & Hospital, Faridkot 151203, Punjab, Pakistan

2. B. B. Mahajan: Department of Dermatology, G.G.S. Medical College & Hospital, Faridkot 151203, Punjab, Pakistan

Abstract:

Objectives: Psoriatic arthropathy (PA) is defined as the association of psoriasis of skin and/ or nails with peripheral and / or spinal arthropathy and usually with a negative serological test for rheumatoid factor. Patients and methods: 50 psoriatic patients with arthropathy and a negative rheumatoid factor were taken for the study. Results: Commonest type of joint involvement was distal interphalangeal joint seen in 44% patients followed by asymmetric oligoarthritis in 40% patients, arthritis mutilans in 6% cases and sacroiliac joint involvement in 2% cases. Nail involvement was seen in 60% cases. In most cases (56%) it was skin involvement followed by arthritis. Hypocalcemia was seen in 60% patients and hyperuricemia was seen in 14% patients. Conclusion: Distal interphalangeal and asymmetric arthritis are most common types of psoriatic arthropathy. Nail involvement is frequent. Skin disease usually precedes arthropathy.

Page(s): 91-97

DOI: DOI not available

Published: Journal: Journal of Pakistan Association of Dermatologists, Volume: 22, Issue: 2, Year: 2012

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